BECK'S DEPRESSION INVENTORY Page 2
I I.
0 - I am no more irritated by things than I ever am.
I - I am slightly more irritated now than usual.
2 - I am quite annoyed or irritated a good deal of the time.
3 - I feel irritated all the time now.
12.
0 - I have not lost interest in other people.
I - I am less interested in other people than I used to be.
2 - I have lost most of my interest in other people.
3 - I have lost all of my interest in other people.
13.
0 - I make decisions about as well as I ever could.
1 - I put off making decisions more than I used to.
2 - I have greater difficulty in making decisions than before.
3 - I can't make decisions at all anymore.
14.
0 - I don't feel that I look any worse than I used to.
1 - I am worried that I am looking old or unattractive.
2 - I feel that there are permanent changes in my appearance that make me look unattractive.
3 - I believe that I look ugly.
15.
0 - I can work about as well as before.
I - It takes an extra effort to get started at doing something.
2 - I have to push myself very hard to do anything.
3 - I can't do any work at all.
16.
0 - I can sleep as well as usual.
1 - I don't sleep as well as I used to.
2 - I wake up 1-2 hours earlier than usual and find it hard to get back to sleep.
3 - I wake up several hours earlier than I used to and cannot get back to sleep.
17.
0
I
2
3
- I don't get more tired than usual.
- I get tired more easily than I used to.
- I get tired from doing almost anything.
- I am too tired to do anything.
18.
0
I
2
3
- My appetite is no worse than usual.
- My appetite is not as good as it used to be.
- My appetite is much worse now.
- I have no appetite at all anymore.
19.
0 - I haven't lost or gained much weight, if any, lately.
1 - I have lost or gained more than five pounds.
2 - I have lost or gained more than ten pounds.
3 - I have lost or gained more that fifteen pounds.
20.
0 - I am no more worried about my health than usual.
1 - I am worried about physical problems such as aches and pains, or upset stomach, or constipation.
2 - I am very worried about physical problems and it's hard to think of much else.
3 - I am so worried about my physical problems that I cannot think of anything else.
21.
0 - I have not noticed any recent change in my interest in sex.
1 - I am less interested in sex than I used to be.
2 - I am much less interested in sex now.
3 - I have lost interest in sex completely.
Name·--------------------------~Date_____TotaI._ __
1-10 Normal; 11-16 Mild;l7+ Clinical Depression:l7-20 Borderline, 21-30 Moderate, 31-40 Severe, 41+ Extreme